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General NPI Number Information
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NPI Number | 1831270289
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE DOCTORS MEDICAL GROUP INC.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 150 N. SANTA ANITA AVE #735
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City | ARCADIA
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State | CA
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Zip | 91006
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Country | US
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Telephone | 626-462-5810
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Fax | 626-446-9686
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Provider Business Mailing Address
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Address Line | 150 N. SANTA ANITA AVE #735
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City | ARCADIA
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State | CA
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Zip | 91006
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Country | US
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Telephone | 626-462-5810
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Fax | 626-446-9686
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | RICHARD S KLEIN
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Credential | PH.D
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Telephone | 626-462-5810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY 4152
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License Number State | CA
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